# PHILIP RAY FISHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851313027
- **Gender:** Man
- **Credential:** DMD, PLLC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5807 | NC | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 10/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0149121 | BCBS | TN |
| 01 | — | 615188 | UNITED CONCORDIA | PA |
| 01 | — | 7102NC | BCBS | MI |
| 01 | — | 810-20124 | BCBS | AL |
| 05 | — | 8992724 | — | NC |
| 01 | — | 92724 | BCBS | NC |
